Utah
Division of Occupational and Professional Licensing
TY BOLTON ERICKSON
Physician - Physician & Surgeon
License number
6388670-1205
Date granted
05/14/2007
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
IDAHO FALLS, ID 83404
utahlicensing.org
ID 29936308
LAST UPDATED 2024-04-09 11:46:11 UTC
LAST UPDATED 2024-04-09 11:46:11 UTC
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